William Bucknam Md, Pc

NPI 1578852075 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1578852075
Enumeration Date 04/05/2011
Last Updated 04/05/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name WILLIAM WILLIAM
Position OWNER
Phone (734) 330-7373
Fax
Practice Location
3135 S STATE ST
ANN ARBOR MI, 48108-1653, US
Phone (734) 330-7373
Fax
Business Location
3135 S STATE ST
ANN ARBOR MI, 48108-1653, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Michigan
License Number 4301043167
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According to our database, William Bucknam Md, Pc NPI is 1578852075, taxonomy code is 2084P0800X and license number is 4301043167, license state is located at Michigan. William Bucknam Md, Pc physically located at 3135 S State St, Ann Arbor MI, 48108-1653. NPI Number 1033115704 has the healthcare provider type.

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1578852075 NPI number is provided on an as is basis without warranty of any kind. 1578852075 is maintained by the National Plan & Provider Enumeration System. The contents of William Bucknam Md, Pc are for informational purposes only.